AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

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All Content by AJJKRN

  1. Cost vs realistic job prospects

    No nursing job will be guaranteed until she gets it in writing. We can give our opinions on our experiences but the trends in your area (or her job search area) may trump them. I'm of the camp that...
  2. References with Discussion Boards

    How else would you get to learn APA format by
  3. charting times

    We are expected to chart in "real time" as much as humanly possible with making the deadlines either on the minute or before. Maybe it depends on your charting system which really still seems like a...
  4. (((Ixchel))) Negative Negative Negative (Chants, with prayers, with fingers
  5. I'll up the ante and ask does the Pt have an ileostomy or
  6. I kept a 4.0/4 with all of the required gen eds for my ASN program that was rediculously competitive. I applied once and was thankfully accepted the first go around. Some schools have a 16 hour rule...
  7. Familiarize yourself with SBAR. It's nice that your instructor is having you do a handoff report but in this stage of your game you really don't know what you don't know...even more so than when being...
  8. adding up my narcotics

    I don't think diversion is the problem either but regardless of it being the norm for the practice, the red flag to me and the common denominator seems to be not wasting in between Pt's and waiting...
  9. CT tech accessing ports

    While part of me wants to agree with you on this one, the other part of me thinks of the slippery slope that of "medication aides" or even CNA's reminding Pt's when to take their meds in assisted...
  10. How long SHOULD orientation be?

    I believe that three months with solid preceptors on a regular hospital floor (ortho, tele, trauma, neuro, etc) along with at least a years worth of available mentoring for a new nurse is adequate...
  11. Sepsis

    I meant for lactate to be used along with the other sepsis parameters AND Pt presentation. So far it's been pretty darn useful in detecting developing sepsis. As for the post on the "hot appy", my...
  12. Sepsis

    Is your facility not also using serum lactate levels to rule out the possibility of sepsis? I think that a lactate level >2 will get you on the radar, along with two of the other parameters...
  13. Sepsis

    Honestly the new (I think it's called) ICD-10 stuff is prompting hospitals to start having more and more protocols in place and sepsis prevention/risk/treatments is one of them. We have a newer...
  14. Pls help me identify these shoes!

    I won't be of much help to you other than to say that shoes with holes in them are not allowed in direct Pt care areas because of contamination issues/prevention. Let me guess, you've never had anyone...
  15. Demand for Nurses in Chicago

    Three years or plus experience may just turn the tides though for you. Don't forget that degree inflation is permeating any area already saturated with nurses as well (new or
  16. It is way to variable across each state but California. I live in Il and we try to be 1:5 on Med-Surg when staffing allows but another hospital could be 1:10 or 12+ And get away with
  17. Please help :(

    If it's not a good time to cover then don't. You've got to take care of you and your work peers will do the same for themselves if and when given the
  18. Demand for Nurses in Chicago

    I find it very hard to believe that there are no Level I trauma centers in the Chicago area! I'm mid state and work in a Level I. I don't think Chicago is hurting for nurses with not much experience...
  19. Bullying on the job?

    Initially I would have akined my first year to a sorority hazing! I got through it though and never looked back. I can say that it reinforced my values of treating others as I would want to be treated...
  20. Give me the spoon!

    I'd be worried about finding the syringe they were going to use! Doubtful that they would recap or use the sharps bin but hey they might be a conscientious drug
  21. Awe man, I remember this happening about three years ago when some company that makes the glass vials couldn't make them for some reason. We actually retrofitted our epidural pumps into PCA's. At...
  22. Nursing Communication Project

    What about "teaching on the fly"? I think it really improves the nurse/Pt communication and helps keep the Pt educated and up to speed on their POC, and not to mention come discharge
  23. Nursing license

    So from the brief amount of info I've read, did you not complete a college course and therefore did not get awarded your official educational degree but your school went a head and sent everything in...
  24. Are clinic and school nursing jobs "too easy"

    I think the question you asked was quite loaded and I would have to say that it depends on the person and what their stressors
  25. Dental is the hardest for me and my family because our insurance provides little coverage for procedures and caps at a very small amount compared to how much it costs to go to the dentist! Preventive...